MEDICARE: MR. STEVEN BRUCE BARRETT MT-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225A00000X	Music Therapist	05636	MO

General Provider Information

NPI Number	:	1811178627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN BRUCE BARRETT MT-BC

Provider Business Mailing Address
First Line	:	100 W 112TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-5306
Country	:	US
Telephone Number	:	816-943-0399
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 W 112TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-5306
Country	:	US
Telephone Number	:	816-943-0399
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2007
Last Update Date	:	11/20/2007

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